Montreal Gazette

People developing dementia earlier and dying of it more: study

- DANIELA DEANE

People are developing dementia a decade before they were 20 years ago, perhaps because of environmen­tal factors such as pollution and the stepped-up use of insecticid­es, a wide-ranging internatio­nal study has found.

The study, which compared 21 western countries between 1989 and 2010, found that the disease is now being regularly diagnosed in people in their late 40s and that death rates are soaring.

The study was published in the Surgical Neurology Internatio­nal journal, and its findings were publicized in the London Times newspaper on Thursday.

The problem was particular­ly acute in the United States, where neurologic­al deaths in men aged over 75 have nearly tripled and in women risen more than fivefold, the leader of the study, Colin Pritchard from Bournemout­h University, told the London Times.

Scientists quoted in the study said a combinatio­n of environmen­tal factors such as pollution from aircraft and cars, as well as widespread use of pesticides, could be the culprit, the newspaper reported.

Early-onset dementia used to cover people developing the disease in their late 60s. Now, it’s meant to mean people much younger than that, the research showed.

The study found that deaths caused by neurologic­al disease had risen significan­tly in adults aged 55 to 74, virtually doubling in the over-75s.

Some 60 per cent of the increase in deaths was attributed to dementias. Some 40 per cent covered other neurologic­al diseases such as Parkinson’s and motor neurone disease, scientists told the London newspaper.

The sharp increase in death rates from dementia-related diseases cannot simply be blamed on an aging population or stepped-up diagnosis, Pritchard said.

“The rate of increase in such a short time suggested a silent or even a hidden epidemic, in which environmen­tal factors must play a major part, not just aging,” he was quoted as saying. Pritchard said no single factor was to blame, but instead blamed the interactio­n between different chemicals and varying types of pollution.

“The environmen­tal changes in the last 20 years have seen increases in the human environmen­t of petro-chemicals — air transport, quadruplin­g of motor vehicles, insecticid­es and rises in background electro-magnetic field, and so on,” Pritchard was quoted by the newspaper as saying. The scientists said nobody wanted to put an end to modern advances but instead wanted to make them safer.

Other experts quoted by the newspaper were skeptical about the causes for the increase.

Tom Dening, professor of dementia research at the University of Nottingham, said that falling death rates for cancer and heart disease could account for the spike in deaths from neurologic­al disease since people “had to die of something.”

“We can’t conclude that modern life is causing these conditions at a younger age,” Dr. Simon Ridley, head of research at Alzheimer’s Research UK, told the paper. “We know that Alzheimer’s and other dementias can have a complex interplay of risk factors.”

Pritchard warned, however, that it was “time for us to wake up and realize that a major problem we now face is unpreceden­ted levels of neurologic­al disease, not just the early dementias.”

 ?? GETTY IMAGES FILES ?? An internatio­nal study has found that people are developing dementia 10 years earlier than they were 20 years ago, and researcher­s suggest pollution and stepped-up use of insecticid­es are to blame.
GETTY IMAGES FILES An internatio­nal study has found that people are developing dementia 10 years earlier than they were 20 years ago, and researcher­s suggest pollution and stepped-up use of insecticid­es are to blame.

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